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HomeMy WebLinkAboutPeconic Bay Sailing Assoc. 2019-41 Southold Town Board - Letter Board Meeting of September 10, 2019 RESOLUTION 2019-781 Item# 5.14 ADOPTED DOC ID: 15546 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-781 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 10, 2019: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Peconic Bay Sailing Association to hold a Special Event 2019-41 at Cutchogue Harbor Marina, 3350 West Creek Avenue, Cutchogue,New York as applied for in Application CHMIa for two (2) events: October 4, from 6:00 PM to 8:00 PM and October 5 from 6:00 PM to 11:00 PM, provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Event ? ' Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated September 11, 2019 Page 27 TOWN OF SOUTHOLD SPECIAL EVENT PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Whitebread Sailboat Race Permit No. : CHM 1a Type(s) of Event : Sailboat Race Location of Event : Cutchogue Harbor Marina Date(s) of Event : October 4, 2019 Time of Event : 6:00 PM - 8:00 PM TOWN OF SOUTHOLD SPECIAL EVENT PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Post-Race Awards Ceremony Permit No. : CHM 1b Type(s) of Event : Post-Race Awards Ceremony Location of Event : Cutchogue Harbor Marina Date(s) of Event : October 5, 2019 Time of Event : 6:00 PM - 11:00 PM i RECEIVID 019 5outhold gown Clerk TOWN OF SOUTHOILD �«-- Town Code Chapter 205"Public Entertainment and Special Events" SPECIAL.EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application — up to six (6) multiple events of the same type may be permitted on one (1) application for a fee of$150.00. However, specific details of each event must be included with this application. All applieations must be submitted at least 60 business days before the event. Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to-the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. ® A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. G EE: Is the application being submitted at least 60 days before the event[t4 Yes [ ]No Y- If Yes,Fee of$ has been submitted ® If No,Fee of$ has been submitted Updated 8/7/2018 The applicant/owner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured p � �T"� A Park ng/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) ® Events for three hundred (300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public health Food Protection Unit. Updated 8/7/2018 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. 1 Special Event Permit# Applicant(s)name: �'� �� ` � Ss.. Date of Submission Name of Event �� r-c2- SCTM#'s 1000-Section `lO-m i —LZ Block- Lot(s) r"'' F���r=- �i•rrc.'�::>>cJ •� :J�_lr�lo�,� �$ � 6'.�JPr�.a '�;�.a�v,n �,r Dates of Each Event: B-Z �-� If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: 4�P-,�L_->o j�,-4 C2-4<,0- (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: Fromto k t L") V Town Services requested: ( )Yes No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: 'Z.1 Number of cars expected 6� Is a Tent or other temporary structure being used? [ ]Yes [ ]No If yes provide size(s) rG' ' Go 1,-e -C�,r�� S -Y�,zsl ��J a ���� �rr.SyJ" L FA(>tIc,A Will food be served?[PCj Yes [ ]No If yes provide number and names)of food vendor(s) (t.J L �-,r_t a Suffolk County permit#(s) (�\6=4S •- C5`°{ Updated 8/7/2018 Will other vendors be on the pre ises during the event?[x]Yes [ ]No If yes how many? Describe Type of vendor(s) :,J`r 5'C..t.�,c._, i...�.�,r �L c:,e.*-'S-i. �,-• ©'�.O3<�+S fa r S..s`��LK. ��.:,�^�y; � �3 t7=(`b�3 Property Owner(name/address): cJea �,v a\1� �,�_��� ��,« cc �r C Contact Person and Contact Tel.# }�� ��� r•--S T`^P, e-mail address Event Location:Street-Hamlet Address: !Z z� i 7-4 %? SCTM# t G1, Will any services be requested [ ]Yes [ No. If Yes describe Police Highway Other: Mailing Address to Send Event Permit to: Have any of the development rights been sold to the Town of Southold [ ]Yes [V4 No and/or Suffolk County Agricultural Program? [ ] Yes [A No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MIDST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACK A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building, structure,or signs to be erected temporarily for the event. (3) The location of the stage or tents, if any. (4) The designated areas of use for spectators,exhibitors,vendors, employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any,and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 Will other vendors be on the preises during the event?[-4]Yes [ ]No If yes how many? Describe (�_ha ¢c tga•a tic t a r Type of vendor(s) c,, s- c Z. 2 e..,.,( L(-e" c :,,,�'7' S'L'.atp. •.-•�.�a r ;_<<.a>-'S-i: t�'r- ©`'�p"3�i�3� r 5..s`�J�K C.�,�rs-�� � ��j lam(`btu.j Property Owner(name/address): C' Contact Person and Contact Tel.# mac `��� ` r� �^ � ��� 3 t 03q e-mail address N "�J-t- a� 5 l-� C �� • ��`v� Event Location:Street-Hamlet Address: _ SCTM# Will any services be requested [ ]Yes [yQ No. If Yes describe Police Highway Other: Mailing Address to Send Event Permit to: L-0'"\A,4, -<J% z. L� is i "d-4b�� eS LL7q.I Have any of the development rights been sold to the Town of Southold[ ]Yes [t4 No and/or Suffolk County Agricultural Program? [ ] Yes [ANo If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CON'T'ROL PLAN(see next page) A Parking/Event Plan may be a survey,site plan and/or aerial view (for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building, structure,or signs to be erected temporarily for the event. (3) The location of the stage or tents, if any. (4) The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any,and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 FROM :new Suffolk si,ipyard FAX NO. :6317346246 Jul. 24 2019 11:34AM P3 0YE'.g'SSICN ATTfl E.' I am the Owner of the Property this event is to be held a nd f agree to comply with rhe laws, rules,regulaations, conditions,and requiremeaals of rite Code o,f the Town of Southold,Including haat not ftfred to t/ce candntaons listed below,as well as all of/ter applicable agency males and regulfuiw pertaining to the activities lander this event 1:aartheraraore,I hereby swear or affirm that the information contained herein and cattaaclements hereto are trace and correct to tlae best of oty knowledge, and agree to provide notice to the Town ivwwdiately should there be any material changes regarding to this application. . Furthermore,T hereby authorize Code Enforcement Personnel of the Town of Southold to enter life property during the hours of the permuted special event to make any and all inspections necessary in connection with this Speciaal bent Gow�v-ice A, ZdaWe'S Print name of Owner Signature of towner Print name of Authoriied Person/Representative Signature of Authorized sontReprosentative PERMISSION IS HEREBY 3RA14TED SUBJECT ECT O T ��, �►11�3�COI�I{TAO�Ss 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly prohibited on ANY Town ount orState oads_or Ri h�is of Kam. 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (d) square feet in size may be displayed not longer than thirty (30) days before this event, and removed irnimediately af}.er the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds haunless the Town of Southold from all claims, damages, expenses, suits and lasses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the 'Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, ffec, and related documents for review,etc. at least b_Qbpsiness days rior to the sell uled eti+ent. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 4$hours after the day of the event. 9. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9, NO activities assoclafed_with this event, including but not limited to Pa king, ingressl/egms/access, tent(s),or temporary structtare(0,or temporary sanies iVtie*,,shall be conducted on Tow_ n gf$outhold Purchase of Development Rights land. Updated 81712018 i 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event including but not limited to parking, ingress/egress/access, tent(s)or temporary structures) or temporary sanitary facilities shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will sallow access to Code Enforcetraent Personnel of the Town of Southold during the hours of the special event to nurke any and all inspections necessary in connection with this Special Event 16. ADDITIONAL CONDITIONS: I ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: i Updated 8/7/2018 July 31, 2019 Town of Southold RE: Special Event Permi2ociation pplication Peconic Bay Sailing Whitebread Sail Boa Race Attached please find the application for a special event permit and an application for a tent permit. The Peconic Bay Sailing Association ("PBSA") will be hdsting a sail boat race. The race begins in or near Cutchogue Harbor,goes around Shelter Island and finishes back in Cutchogue Harbor. We anticipate that the race will attract around 75 boats. A skippers'meeting will be held on Friday evening,October 4 from approximately 6pm to 8PM. The race will be held on Saturday, October 5. A post race party will occur on Saturday evening,August 5 from approximately 6PM to 11PM. The skippers'meeting and the post race party will be held at+ Cutchogue Harbor Marina,3350 West Creek Avenue,Cutchogue, NY. Beer and wine will be served both evenings and will be served by the Greenport Harbor Bre'wing Company. Food will be provided at the Saturday night event and will be catered by La Capricciosa. The Saturday night event will have a band providing music. The band and dance floor will be located inside of a maintenance garage e�Cisting on the marina property(a sketch of the facility has been provided). We will lso be retaining a security service (two or three persons) to be at the event. PBSA has also applied for a Special Event Permit to serve beer and wine from the New York State Liquor Authority. I have attempted to supply to you all of the information requested inour form. However,this is the first time we have applied for the permit so if the a are deficiencies kindly contact me at your convenience: William W.Archer Treasurer Peconic Bay"Sailing Association warcher148Caaol.com 516 524 6727 (cell) Thank you. Sincerely, 'Cap-, William W.Archer /•', PECOSAY-01 SPADUC ACORO" CERTIFICATE OF LIABILITY INSURANCE DATEW=DIYYY1f) `•-�� 7/12/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T E CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require�n endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER TACT Sara Paduch GOWri@ Barden&Brett,Inc. PHONE FAX 70 Essex Road Arc N%Ext:(860 399-2809 AIC,No:(860)399-3696 Westbrook,CT 06498 .sarap@gowrie.com INSURERS AFFORDING COVERAGE MAIC A INSURER A:Federal Insurance Compa6y Company20281 INSURED INSURER B. Peconic Bay Sailing Association INSURER C: PO Box 1196 INSURER o: Cutchogue,NY 11935 INSURER E INSURER F• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR )( 35823357 4/1/2019 4/1/2020 DAMAGE TO RENTED 1,000,000 MED EXP oneparson) 10,000 PERSO &ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL('AGGREGATE 2,000,000 POLICY El jecT F]LOC PRODUCTS-COMPIOPAGG Included OTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO 35823357 4/112019 411/2020 BODILYINJ1URY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTNOSS D BODILY INJURY Per accident X AUTOS ONLY X AUTOS ONLY PeOremtlent AMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR HCLAIMS-MADE AGGREGATE DED I I RETENTION$ WORKERS COMPENSATION PERI OTH- AND EMPLOYERS'LIABILITY Y!N A ER AAN�YPROPRIETOR(PARTNERlEXECUTIVE ❑ N 1 A EL.EACHACCIDENT $ (MandaWry in NH)EXCLUDED? E L.DISEASE-EA EMPLOYE $ it yes,describe under R DESCPTIO OF OP RATIONS below I E L.DISEASE-POLICY LIMIT A Marine GL 7319550 4/1/2019 411/2020 1,000,000 A P&I Regatta 7319551 4/1/2019 4/1/2020 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101,Additional Remarks Schedule,may be attached If mora space is required) Town of Southold,is included as an additional Insured for General Liability when required by contract or agreement for the event held October 4&5,2019. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, (NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Town of SoutholdISuffolk County-NY / ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD \�'-• 7 ,+3,.,r ` XV _.}E[��'•` Yiu-, •`I`�, 'u1Y Tim �`'•_ •� - �4` f aha „ --�5 - lam" `it. -H�i �F r'f;,=� , - ' .., ��j 'I• �;i-' RI�� ��q.,I zr.,��, t•.^', �A\ ., ,.:�... � •;tib :j;Y;�L 01 �; 'y ,d` ,tel: :�^, ��a3 `..�,,,J:y2;•N ��,J'�1��gry^..��� r �+yt _ aq 1 -yr /- •}"✓ f' -`ile� �f.:4� r± w�a�t°"9 k 'YY ,h !' •;Ve s c. i3:Vy;f - S - .".e!y;,'cr; `_'' ".,�•.yam rrm -�,.-,a:" ".'�►' .,,f= `�a , ,`•",3t;1 tri�.. ";r, %a w, ,.-- .ww "-�.z�'r"' ^,.� �; „+^, �j i'T,�^,ti.q' ,* ,=v'� ';:P„at ai.,;-a��.:k�„v�, ,e,�. ,<7"�� _ ,r•��K �� R•. ,,rc� X r�, Mn ��;," `�' `r, ,� ��^:x.,,' yqY�"t,�r"�'',�, ..• "�.-* r,7k• - '~�h ti � by.5y- �{"', ,nJ _ 'fir., ,4'i.�s;,t' ,fig''_ "�>+;Yr 6 •1.P;,' ,rr..`a: - �"�^'. � ••1 r ,• �' C y✓ fes' ,��2 ` -.Fy.N }p` .r` 1''1,,,�._`,',Y•'.4 Y,�^a.�,' _ t x r, e N.G `J�l0 f .SL.� INA L r t �a ae AFFOL�'e, ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK �� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS & Fax(631)765-6145 MARRIAGE OFFICER ,�, ®�: Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®1 �,°� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD JUL 3 1 2019 Southold Town Clerk APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Date of Submission 01 Name of Event �����t'�,�,c 2- r-41.11,11 .aa-C Name of Organization: Is this a Not-For-Profit Event?Yes/No Contact's Name: Mailing Ad dress: 2- f�aJ c >,� �� �vJ'�`A'`U��� , M14 Contact's Phone Number: `� �� 7- Contact's Contact's Email Address: --x> A s,CIA Event Location and Site Diagram: (Use additional paper if necessary) Sok, a��r� OcAltr 'f S�d�a ,,r3 M�e��of aJ , G Qvv�— �E'\M + lJt. c�b e r _ C �9QT e� Event Date(s): 6� b (Include set up and shut own times and dates) Nature of Event: S�ti� � �a`� �r� -� od53:: C>a (Please attach a detailed description to this applicatio ) to Time Period(Hours) of Event: to k� Q Is�1`4 Maximum Number of Expected Attendees: Specify any special requirements(i.e. road closure, police presence): U<)�� If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Mailing Address to Send Event Permit to: &c--n e� til Lc a Event Fees: $250 for events with less than 1000 expected attendees $500 for events with 1000 or more expected attendees Clean-up Fees (Can NOT be waived): 1,500.00 Clean-up for Bicycle and/or Running Special events (ONLY) $250 or more Clean-up deposit all other events CERTIFICATE OF INSURANCE REQUIRED: Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. Print name of Authorized Person filling out Signature of Authorized Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. ZA ��- Oy' e 5- .4> '-'sC� 2 (14) Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. 0WNER'S SIGNATURE: I ani the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions,and requirements of the Lode of the Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event..Furthermore,I hereby swear or affirm that the Information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be ally material changes regarding to this application. . Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event. Print name of Owner Nk Signature of Owner Print name of Authorized Person/Representative Signature of Authorized Person/Representative PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONIDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly prohibited on ANY Town County or State Roads or Rights of Way. 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited'to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review, etc.at least 60 business days prior to the scheduled event. e 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. Updated 8/7/2018 Doroski, Bonnie From: Doroski, Bonnie Sent: Thursday, August 01, 2019 8:40 AM To: Blasko, Regina; Burke, John; Doroski, Melanie; Duffy, Bill; Fisher, Robert; Flatley, Martin; Hagan, Damon; Kruszeski, Frank; Norklun, Stacey; Silleck, Mary; Spiro, Melissa Subject: Emailing: spec evnt-pec bay sailin_20190801083030 Attachments: spec evnt-pec bay sailin_20190801083030.pdf Please review the attached application received from the Peconic Bay Sailing Association regarding their Whitebread 26 Sail Boat Race. Thank you. Your message is ready to be sent with the following file or link attachments: spec evnt-pec bay sailin_20190801083030 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Doroski, Bonnie From: Flatley, Martin Sent: Thursday, August 01, 2019 4:05 PM To: Doroski, Bonnie Subject: RE: Emailing: spec evnt-pec bay sail in_20190801083030 I have no objections to these events being approved. Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 -----Original Message----- From: Doroski, Bonnie Sent:Thursday,August 01, 2019 8:40 AM To: Blasko, Regina <rblasko town.southold.ny.us>; Burke,John<iohnbu southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski @town.southold.ny.us>; Duffy, Bill<billd@southoldtownnv.Rov>; Fisher, Robert <Robert.Fisher town.southold.nv.us>; Flatley, Martin <mflatlev town.southold.nv.us>; Hagan, Damon <damonh southoldtownnv.Rov>; Kruszeski, Frank<fkruszeski town.southold.ny.us>; Norklun, Stacey <Stacey.Norklun town.southold.ny.us>;Silleck, Mary<marvs town.southold.nv.us>; Spiro, Melissa <Melissa.Spiro town.southold.ny.us> Subject: Emailing: spec evnt-pec bay sailin_20190801083030 Please review the attached application'received from the Peconic Bay Sailing Association regarding their Whitebread 26 Sail Boat Race. Thank you. Your message is ready to be sent with the following file or link attachments: spec evnt-pec bay sailin_20190801083030 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. i Vendor No. Check No. Town of Southold, New York - Payment Voucher xpdor Name Vendor Address Entered by rlbS CL Y1 �O �JO�_ 1 l ` 1p __— _— Audit Date' Vendor Telep ne Num11ber 5 1�o .J!' �(Li- 6 `�+ ` _���� - Town'Clerk Vendor (Contact Yr cr Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Gepexal I ed er Fund and Account Number' Special Event Clean-up 250.00 250.00 Deposit Refund �� 1 septal Eu�n a�P ;• ,�. . . . .... ... ..... .... ........... ... . . . „ , , „ Total 350.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no pan has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Stg at rn Title Signatures/ r� Company Name Date Title 1440 Date 9— 2- Southold Town Board - Letter Board Meeting of September 10, 2019 l RESOLUTION 2019-778 Item# 5.11 ADOPTED DOC ID: 15542 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-778 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 10,2019: RESOLVED that the Town Board of the Town of Southold hereby authorizes a refund of $350.00 to Peconic Bay Sailing Association Inc., PO Box 1196, Cutchogue,NY 11935 for overpayment of a Special Permit Application fee (B.2590.40 - $100.00) and clean-up deposit (T1.030 - $250.00). Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated September 11, 2019 Page 24 Town of Southold P.O Box 1179 Southold, NY 11971 s> * * * RECEIPT * * * Date: 08/01/19 Receipt#: 258660 Quantity Transactions �-�.®�® Reference Subtotal 1 Clean-Up Deposit 10.5.19 $250.00 1 Event Fee 10 5.19b $250.00 Total Paid: $500.00 Notes: Payment Type Amount Paid By CK#234.235 $500.00 Peconic, Bay Sailing Association Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Peconic, Bay Sailing Association Po Box 1196 Cutchogue, NY 11935 Clerk ID: BONNIED Internal ID 10519b